Physician

Soraya Rofagha, MD

According to 2025 Medicare claims, Soraya Rofagha, MD (NPI: 1568687374) practices ophthalmology in the Oakland-Fremont-Berkeley, CA market, with the plurality of this provider's patient population coming from Contra Costa, CA. This provider's primary affiliated billing organization is EAST BAY RETINA CONSULTANTS A MEDICAL GROUP, INC. (NPI: 1790965341; TIN: 943209895) and primary practice location at 94520-7966.

Rofagha's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 793 traditional Medicare patients, billed 17,606 HCPCS/CPT codes, and received $2,119,939 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 235 prescription claims across 93 beneficiaries totaling $9,986 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 16 records totaling $61,477. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $535,221 to $2,119,939. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $13,181 and ending at $9,986. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$1.1M$2.1M2015 Medicare payment: $535,221 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $520,010 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $736,010 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $882,069 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $934,203 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $993,606 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,251,619 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,415,080 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,653,039 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,119,939 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155264,626$535,221
20164654,163$520,010
20175715,272$736,010
20186475,605$882,069
20197137,537$934,203
20206515,641$993,606
20217896,751$1,251,619
20227537,138$1,415,080
202368110,493$1,653,039
202479317,606$2,119,939

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$16K$32K2015 Drug cost: $13,181 (USD; Tot_Drug_Cst)2016 Drug cost: $14,069 (USD; Tot_Drug_Cst)2017 Drug cost: $18,426 (USD; Tot_Drug_Cst)2018 Drug cost: $13,545 (USD; Tot_Drug_Cst)2019 Drug cost: $20,107 (USD; Tot_Drug_Cst)2020 Drug cost: $32,409 (USD; Tot_Drug_Cst)2021 Drug cost: $24,476 (USD; Tot_Drug_Cst)2022 Drug cost: $13,665 (USD; Tot_Drug_Cst)2023 Drug cost: $18,699 (USD; Tot_Drug_Cst)2024 Drug cost: $9,986 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201559185$13,181
201648183$14,069
201758178$18,426
201875254$13,545
201975269$20,107
2020109450$32,409
2021101360$24,476
2022115278$13,665
202384242$18,699
202493235$9,986

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more165197$112
67028Injection of drug into eye2931,487$110
92012Established patient problem focused exam of visual system376554$81
92134Imaging of retina7762,329$37
92202Extended exam of the back part of the eye with optic nerve drawing200216$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate452,531$2,339
Ketorolac TromethamineKetorolac Tromethamine331,452$1,052
Atropine SulfateAtropine Sulfate181,369$570
Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha39889$394
LatanoprostLatanoprost221,792$220

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.9$288Astellas Pharma US Inc
Research PaymentsReported research-related payment or transfer-of-value amount.7$61,189Genentech, Inc.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Soraya Rofagha, MD?

Tedicare shows public-source Medicare data for Soraya Rofagha, MD (NPI 1568687374), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Soraya Rofagha, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Soraya Rofagha, MD?

Soraya Rofagha, MD is linked to EAST BAY RETINA CONSULTANTS A MEDICAL GROUP, INC. (billing NPI 1790965341) in the available physician profile data.

Does Soraya Rofagha, MD have Open Payments data?

Soraya Rofagha, MD has 16 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.